COUNTRY MANOR CAMPUS LLC
NPI: 1760630214
· SARTELL, MN 56377
· Non-emergency Medical Transport (VAN)
· NPI assigned 09/08/2008
Provider Details
| Authorized Official | HARGUTH, KEVIN (C.F.O.) |
| Parent Organization | THE FOUNDATION FOR HEALTH CARE CONTINUUMS |
| NPI Enumeration Date | 09/08/2008 |
Related Entities
Other providers sharing the same authorized official: HARGUTH, KEVIN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
411 |
$6K |
| 2019 |
154 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0130 |
Non-emergency transportation: wheelchair van |
354 |
128 |
$6K |
| S0209 |
Wheelchair van, mileage, per mile |
211 |
104 |
$4K |